NPI | 1194801852 |
---|---|
Doing Business As | RICCOBENE ASSOCIATES FAMILY DENTISTRY - CLAYTON |
Entity Type | Organization |
Authorized Contact | MICHAEL RICCOBENE CEO 855-417-4226 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 6718) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2006-10-27 |
Last Update Date | 2023-10-19 |